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NPI Code Detail

MEDICARE: MEGAN LYNN ROHRBACH M.S. CCC-SLP

MEDICARE: MEGAN LYNN ROHRBACH M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist41YS00639300NJ

General Provider Information

NPI Number : 1356635833
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN LYNN ROHRBACH M.S. CCC-SLP
Provider Business Mailing Address
First Line : 109 2ND AVE
Second Line : APT J
City : BRADLEY BEACH
State : NJ
Zip : 07720-1178
Country : US
Telephone Number : 732-580-0385
Fax Number :
Provider Business Practice Location Address
First Line : 115 DUTCH LANE RD
Second Line :
City : FREEHOLD
State : NJ
Zip : 07728-5500
Country : US
Telephone Number : 732-431-7420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2011
Last Update Date : 06/02/2011

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